地塞米松注射液治疗静脉置管皮肤过敏10例护理体会

10 Cases of Nursing Experience of Dexamethasone Injection Treatment of Venous Catheterization Skin Allergy

目的:探讨地塞米松注射液在PICC或深静脉置管局部皮肤过敏护理效果。方法选取2012年10月~2013年9月我院对10例置管局部皮肤过敏患者使用地塞米松注射液外涂并加强换药。对丘疹、水疱患者:一般不使用酒精首次擦拭,可选用生理盐水进行局部皮脂清洁,再用0.5%碘伏常规消毒待干,外涂地塞米松注射液,贴膜时注意避开水泡,可修剪IV3000贴膜,增加换药次数,一般1次/2~3d。结果使用地塞米松后,患者局部过敏皮肤风疹团、丘疹明显缓解,红斑消退,达到治愈。无1例因局部皮肤过敏反应导致拔管。结论地塞米松注射液治疗置管后皮肤过敏有较好的疗效,值得临床推广。

Objective:To explore the deep venous catheter in PICC or al ergic reaction to the skin care ef ect of dexamethasone injection.Methods:from 2012 October to 2013 September in our hospital in 10 cases of local skin al ergy patients using dexamethasone injection coated and strengthen.The papula,blister patients:general y do not use alcohol wipe can be used for the first time,saline local sebum clean,with 0.5%iodophor disinfectant to be dried,coated with dexamethasone injection,to avoid the at ention of bubble film,IV3000 film can be pruned,increase the bandage times,general 2-3 day.Results:the use of dexamethasone,patients with a local al ergic skin,obviously relieve among papules,erythema,cure.No cases of lead to extubation due to local skin al ergic reaction.Conclusion:Dexamethasone Injection in the treatment of catheter after the skin has a good curative ef ect,is worth the clinical promotion.